Birthday Request Form

Simply fill in the required information below and click "submit" at the bottom to reserve a party. One of our staff members will call you within 48 hours to confirm your reservation and ask for a $25 refundable deposit. You may pay the deposit over the phone with a Visa or Mastercard, or in person at LaserLite.

Please Note: Your reservation is not confirmed until our staff member contacts you and a deposit is placed.

Contact Person (*)

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Home Phone (*)

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Birthday Guests Name (*)

Please enter the Birthday Guests Name
Age (*)

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Gender (*)

Please enter the Gender of the Birthday Guest.
Date of Party (*)

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Time of Party (*)

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Home Address

Please enter a valid Adress
City

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State

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Zip Code

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Number of Guests (Including Birthday Guest) (*)

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Party Package (*)




Invalid Input Party Package Includes:

Standard Package:($15.00 per person)
2 games of Laser Tag per player
6 Tokens per player
1 Spin on the Birthday Party Wheel
Unlimited Soda while in party room
Cookie Cake
Party Room for 45 minutes
Party coach
Plates, cups, napkins, & candles

Deluxe Package: ($17.00 per person)
2 games of Laser Tag per player
10 Tokens per player
1 Spin on the Birthday Party Wheel
1 Slice of Pizza Per Player
Unlimited Soda while in party room
Cookie Cake
Party Room for 45 minutes
Party coach
Plates, cups, napkins, & candles

Ultimate Package: ($25.00 per person)
3 games of Laser Tag per player
20 Tokens per player
1 Spin on the Birthday Party Wheel
2 Slice of Pizza Per Player
Unlimited Soda while in party room
1/2 Sheet Cake
Party Room for 45 minutes
Party coach
Plates, cups, napkins, & candles



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